{"npi":"1275823973","type":"NPI-2","status":"active","name":{"display":"Colon And Rectal Wellness Center","other":[],"organization_name":"COLON AND RECTAL WELLNESS CENTER","authorised_official":"Bradley Levinson"},"specialty":{"primary_taxonomy":"208C00000X","primary_taxonomy_description":"Colon & Rectal Surgery Physician","slug":"colon-rectal-surgery-physician","schema_org_specialty":null,"all":[{"code":"208C00000X","description":"Colon & Rectal Surgery Physician","primary":true,"state":"PA","license":"MD031375E"}]},"addresses":[{"purpose":"LOCATION","street_1":"105 BRANDT DR","city":"CRANBERRY TWP","state":"PA","postal_code":"160666437","country_code":"US","street_2":"SUITE 202","phone":"7245383330"},{"purpose":"MAILING","street_1":"157 GRISTMILL LN","city":"ZELIENOPLE","state":"PA","postal_code":"160633119","country_code":"US","phone":"7245383330"}],"license":{"state":"PA","number":"MD031375E"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110818000056","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"8325217912"}]},"enumeration_date":"2011-04-14","last_updated":"2011-05-27","_meta":{"source":"NPPES","snapshot_date":"2011-05-27","doc_url":"https://findmynpi.com/api"}}